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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , <br /> Building Department <br /> Date Received Phone Contact for Permitting p ` � ��� - - �(p �- <br /> Owner's Name f��V L.�c�'�� /- � /QL� Cr-1'�� � Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS Cv'TD� �O 2•� ,�//�� �i,, LOT# � <br /> SUBDIVISION - PARCEL ID# �� � �ro�r�J '�0�O � C�79�C� "�0�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) • <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q • SFR Q COMM•�• � Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK T tC�I/�J%/✓ L/�U/G r�/J�� <br /> BUILDING SIZE SQ FOOTAGE ��o t HEIGHT � <br /> �BUILDING $ /���a o � VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (_ �f � <br /> I�(/ 1 <br /> OGAS Q, ROOFING Q SPECIALTY [� OTHER � /� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO f b � <br /> BUILDER , � p� D COMPANY / �� _O ��✓v�'G L° v �i✓C, <br /> SIGNATURE �/"M� REGISTERED Y N FEE CURRE� ^/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER COMPANY " <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ; . � <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requi�ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed; <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects _ — <br /> , COMMERCIAi_ - -p,�zch(3)-�r.;p;�te sats a�B���ding-Fians pius a'�ife Safery Page;(1)se4 of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY�required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING � (Front of i4ppHcation Only) ` <br /> Reroofs if shingles Sewers ; Service Upgrad'es`A/C � Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if.on putilic roadways..rieeds ROW <br />